<form action="" method="post" name="contact" id="contact" onsubmit="return checkbeforequestion()">
				<div class="customer-info"><span class="number">1</span>Customer Information</div>
					<p><label class="ten">Customer Name<span class="red">*</span></label><input type="text" name="ten"></p>
	                <p><label class="ten">Your E-mail<span class="red">*</span></label><input type="text" name="dienthoai"></p>
	                <p><label class="ten">Home Address <span class="red">*</span></label><input type="text" class="home" name="email"></p>
	                <p><label class="ten">Tel Number<span class="red">*</span></label><input type="text" name="chude"></p>		                
	                <p><label class="ten">Note <span class="red">*</span></label><textarea cols="10" rows="10" class="widthnoidung" name="noidung"></textarea></p>                
				<div class="customer-info"><span class="number">2</span>Company Information</div>               
              	<p><label class="ten">Customer Name<span class="red">*</span></label><input type="text" name="ten"></p>
                <p><label class="ten">Your E-mail<span class="red">*</span></label><input type="text" name="dienthoai"></p>
                <p><label class="ten">Home Address <span class="red">*</span></label><input type="text" class="home" name="email"></p>
                <p><label class="ten">Tel Number<span class="red">*</span></label><input type="text" name="chude"></p>
                <p><label class="ten">Fax Number<span class="red">*</span></label><input type="text" name="chude"></p>
                <p><label class="ten">Company Description<span class="red">*</span></label><textarea cols="10" rows="10" class="widthnoidung" name="noidung"></textarea></p>  
				<p><input type="submit" value="Gửi"><input type="reset" value="Reset"></p>
              </form>